Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.90 / $695.18 / $14,482.00	Facility		$342.90	$695.18	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.93 / $353.14 / $1,163.06	Professional		$320.93	$353.14	$1,163.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.84 / $868.84 / $2,318.08	Professional		$337.84	$868.84	$2,318.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $869.58 / $1,016.17 / $1,639.05	Facility		$869.58	$1,016.17	$1,639.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.36 / $1,055.30 / $1,398.45	Professional		$460.36	$1,055.30	$1,398.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $339.87 / $449.36 / $872.92	Facility		$339.87	$449.36	$872.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $342.90 / $4,103.00 / $8,783.00	Facility		$342.90	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $400.54 / $921.11 / $2,317.67	Professional		$400.54	$921.11	$2,317.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $469.83 / $862.07	Professional		$85.00	$469.83	$862.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $339.87 / $449.36 / $872.92	Facility		$339.87	$449.36	$872.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $663.65 / $1,024.78 / $1,395.85	Professional		$663.65	$1,024.78	$1,395.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $470.27 / $1,674.75 / $3,137.10	Professional		$470.27	$1,674.75	$3,137.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,736.49 / $1,736.49 / $1,736.49	Professional		$1,736.49	$1,736.49	$1,736.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,653.28 / $1,995.39 / $1,995.39	Professional		$1,653.28	$1,995.39	$1,995.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.89 / $1,025.99 / $1,634.43	Professional		$369.89	$1,025.99	$1,634.43